MEDICARE: HALEY & HANDLEY ENTERPRISES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	010889	TX

General Provider Information

NPI Number	:	1720108707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALEY & HANDLEY ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	1452 HUGHES RD
Second Line	:	SUITE 200
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-7366
Country	:	US
Telephone Number	:	817-410-5775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1452 HUGHES RD
Second Line	:	SUITE 200
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-7366
Country	:	US
Telephone Number	:	817-410-5775
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. LYNN HANDLEY
Credential	:
Telephone Number	:	817-410-5775

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	08/22/2020

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